Timberlane Family Dentistry

NPI #1043600604 in Lecanto, Florida

Provider Information

NPI Number: 1043600604
Entity Type: Organization
Organization Name: Timberlane Family Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 3, 2015
Last Updated: Feb 3, 2015

Practice Location

Address: 1972 N FUTURE TER
City: Lecanto
State: Florida
ZIP Code: 34461-9341
Phone: (352) 746-9111

Authorized Official

Name: MISS MISSY DARLENE DEGOLYER
Title: RECEPTION
Phone: (352) 746-9111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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